CLIA lab

CLIA 23D0912119: Bronson Pediatric Medicine Centre

Portage, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 23D0912119 belongs to Bronson Pediatric Medicine Centre in Portage, MI.

Certificate of Waiver, effective August 23, 2026, expires August 22, 2028.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
August 23, 2026
Certificate expiration
August 22, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
February 23, 1996
Facility type
Physician office
Ownership (control type)
Other
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
23D0912119
Lab name
Bronson Pediatric Medicine Centre
Address
2680 W Centre Street, Portage, MI 49024
Phone
(269) 324-2400
Fax
(269) 324-0450

Annual test volume the lab reported

Waived tests
1,900

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Portage, MI

Related

Questions

What is the CLIA number for Bronson Pediatric Medicine Centre in Portage?

23D0912119, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Bronson Pediatric Medicine Centre hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 23D0912119 expire?

The CMS file lists August 22, 2028 as the certificate expiration date; the certificate took effect August 23, 2026.

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